2 часа назад
Workers Compensation Claims Representative
50 000 - 81 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers Compensation Claims Representative (Insurance): Investigating and resolving workers’ compensation claims by evaluating coverage, losses, medical bills, and legal liability with an accent on claims analysis, medical terminology, and stakeholder communication. Focus on handling complex investigations, authorizing accurate payments, and participating in arbitrations, mediations, depositions, or trials when necessary.
Location: Lake Elmo, Minnesota, United States; hybrid work-from-home flexibility may be available after initial in-person training. Must be able to work in the U.S. without current or future sponsorship.
Salary: $50,000–$81,500 annually, plus bonus opportunities.
Company
is an insurance carrier providing financial security to individuals and businesses after losses.
What you will do
- Investigate claims, assemble facts, determine policy coverage, evaluate losses, analyze legal liability, and pay or deny losses.
- Review medical bills, authorize payments, and ensure timely and accurate payment processing.
- Conduct investigations by phone, mail, and on-site visits.
- Gather information from employers, employees, hospitals, doctors, attorneys, agents, policyholders, and injured workers.
- Resolve claims and attend arbitrations, mediations, depositions, or trials when required.
- Review policies, endorsements, and forms to develop insurance coverage knowledge.
Requirements
- Bachelor’s degree or equivalent direct workers’ compensation claims-handling experience with an insurance carrier.
- Familiarity with a broad range of medical terminology.
- Above-average written and verbal communication skills.
- Ability to organize and interpret data, multitask, make independent decisions, and resolve complex issues.
- Interest in developing product knowledge through approved educational programs.
- Ability to work in the United States without current or future sponsorship.
Culture & Benefits
- Merit-based work-from-home program determined by job responsibilities and leadership approval after in-person training.
- Structured training program and employee mentoring.
- Friendly work environment.
- Matched 401(k), fully funded pension plan after vesting, and bonus programs.
- Paid holidays, vacation days, personal time, and sick leave.
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